Gifty Addai-Pickett, DNP, CRNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2019059727 Issued in VA

Practice address

10306 Eaton PL Ste 300-M12
Fairfax, VA 22030-2201

Phone

(703) 223-9359

Fax

(866) 559-3359

NPI assigned

Oct 22, 2019

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Gifty Addai Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Safe Harbor Behavioral Care LLCGroup PAC ID 0345514675, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359

  Single Specialty

  Medicare reassignment NPD
• Nimel Mental Health

  • Community/Behavioral Health Agency
  • Berwyn Heights, MD
  • NPI 1528543253

  DC, Single Specialty

  Medicare reassignment NPD
• Omiah Behavioral Health & Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1518549906

  Single Specialty

  Medicare reassignment NPD
• Nimel Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berwyn Heights, MD
  • NPI 1609450576
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1770126732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 314K",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446216",
            "telephone_number": "443-917-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10306 EATON PL STE 300-M12",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302201",
            "telephone_number": "703-223-9359",
            "fax_number": "866-559-3359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10630 Little Patuxent Pkwy Ste 314K",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210446216",
            "country_code": "US",
            "telephone_number": "443-917-4211",
            "fax_number": "443-283-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDAI-PICKETT",
        "first_name": "GIFTY",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "2019059727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fairfax",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10306 Eaton Pl Ste 300-M12",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220302201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10630 Little Patuxent Pkwy Ste 314K",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210446216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GIFTY",
            "last_name": "ADDAI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Adams, MS, NCC
• Terri R. Adams, MSW
• Tonya Lynn Adams, M.D.
• Meagan Aileen Adamson, DNP, FNP-BC, MSCN
• Shannon Joines Adcock, PH.D., H.S.P.
• Venkateswer R Addanki, MD
• Melissa Dianne Addessi, LPC
• Gloria Ayeyidwom Addo Ayensu, MD MPH
• Afua B Addo, NP
• Folasade Majestice Adebayo, LPC

• Psychiatric/Mental Health Nurse Practitioner in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.